Intraoperative TEE of the Month - March 2015

published 4 years ago by Ed Nemergut and Robert Thiele (presented by the IARS)

Aortic stenosis

This is doctor Julie hellfire with our opening anesthesia intraoperative T. E. case the month for March 2015. Each month we feature an operative case which teachers are emphasizes an important aspect of basic entropic T. E.. Our patient this month is an elderly man who has a history of each with a relation chronic kidney disease obstructive sleep apnea heart failure. Despite these chronic medical problems he has been a fairly active man playing tennis with friends as recently as 6 weeks prior to admission. He complains of recently worsening shortness of breath which he reports was attributed to his rather uncontrolled ritual for pollution. However he was also found to have severe low gradient aortic stenosis and worsened heart failure with an ejection fraction of 20 to 25 percent. He's coming to the operating room for aortic valve replacement cryo oblation for each of fibrillation and left atrial appendage ligation ...

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